Luis Suarez left England on the brink of a World Cup exit as his brace gave Uruguay victory in Sao Paulo.

The Liverpool striker was making his return after a month out following knee surgery - and it proved to be bad timing for England as his brilliance was the difference in a fiercely-fought encounter.

Analysis

"The lads will be gutted. The second goal was a nightmare, a straight ball down the middle. It is schoolboyish. You have to make sure these things don't happen. We got ourselves back in the game and I would have taken a point. It wasn't to be at the end and we let ourselves down."

Suarez put Uruguay ahead with a first-half header then scored a superb winner six minutes from time after Wayne Rooney's first goal at a World Cup gave England hope of avoiding a second successive Group D loss.

Defeat means the odds are now stacked against Roy Hodgson's England escaping this tough group.

Uruguay coach Oscar Tabarez claimed Suarez would not be fully fit for the game against England after missing his country's opening 3-1 defeat against Costa Rica.

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Luis Suarez heads Uruguay in front against England

Suarez may not have been, but he still possessed too much guile and menace for an England team who never built on the promise they showed in losing to Italy.

Rooney struck the bar before he scored and was England's main threat, but Uruguay - or to be more precise Suarez - produced the quality and clinical finishing that decides games such as this.

As expected, Hodgson played Rooney in a more central role and moved Raheem Sterling wide, but England struggled to find the energy levels that had fuelled such a positive performance against Italy.

Daniel Sturridge and Sterling could not pose the same threat as they had in Manaus either, Instead, it was Rooney who came closest, firing a first-half free-kick just inches wide and then powering a far-post header against the bar from one yard out.

At the back, England looked nervous and were fortunate to survive when Phil Jagielka's sliced clearance fell to Cristian Rodriguez, whose rising drive from the angle just cleared the bar with goalkeeper Joe Hart beaten.

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Wayne Rooney equalises for England

Uruguay were the more ordered side and their opening goal arrived from the most inevitable source seven minutes before half-time.

As England heads dropped, the former Ajax forward celebrated with the Uruguayan medical team who have nursed him back to fitness.

England, as they did against Italy, responded strongly, forcing Uruguay keeper Fernando Muslera to block a Sturridge effort at his near post.

In a chaotic start to the second half, Suarez was wasteful and Cavani was guilty of a bad miss.

Rooney then found room in the area only eight yards out, but shot straight at Muslera.

Hodgson, knowing what defeat would mean, made his first change after 64 minutes by sending on Ross Barkley for Sterling, who had struggled to impose himself on Uruguay as he had against the Italians.

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World Cup 2014: Luis Suarez scores winner for Uruguay

England were moving into desperate times as the clock ran down - and it was Rooney who produced the goods with the equaliser 15 minutes from time, tapping in from close range from Glen Johnson's perfect cross.

Just as the momentum looked to be shifting towards England, Suarez was the tormentor again.

He latched on to a long punt from Muslera, which Gerrard could only flick on with his head, and then steadied himself before rifling an unstoppable finish past Hart.

It was the final word on this game - and probably on England's 2014 World Cup hopes in Brazil.